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Review article: Biomedical intelligence

Vol. 144 No. 1112 (2014)

Transcatheter renal denervation for the treatment of resistant arterial hypertension: the Swiss expert consensus

  • Gregoire Wuerzner
  • Olivier Muller
  • Paul Erne
  • Isabella Sudano
  • Stéphane Cook
  • Georg Noll
  • Urs Kaufmann
  • Hans Rickli
  • Bernard Waeber
  • Christophe Kaiser
  • Christian Sticherling
  • Antoinette Pechère-Bertschi
  • Iris Baumgartner
  • Augustinus Jacob
  • Thomas Lüscher
  • Michel Burnier
  • Salah Qanadli
DOI
https://doi.org/10.4414/smw.2014.13913
Cite this as:
Swiss Med Wkly. 2014;144:w13913
Published
09.03.2014

Summary

Transcatheter (or percutaneous) renal denervation is a novel technique developed for the treatment of resistant hypertension. So far, only one randomised controlled trial has been published, which has shown a reduction of office blood pressure. The Swiss Society of Hypertension, the Swiss Society of Cardiology, The Swiss Society of Angiology and the Swiss Society of Interventional Radiology decided to establish recommendations to practicing physicians and specialists for good clinical practice. The eligibility of patients for trancatheter renal denervation needs (1.) confirmation of truly resistant hypertension, (2.) exclusion of secondary forms of hypertension, (3.) a multidisciplinary decision confirming the eligibility, (4.) facilities that guarantee procedural safety and (5.) a long-term follow-up of the patients, if possible in cooperation with a hypertension specialist. These steps are essential until long-term data on safety and efficacy are available.

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